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This is VAERS ID 1431001

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1431001
VAERS Form:2
Age:60.0
Sex:Male
Location:New Jersey
Vaccinated:2021-06-23
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 009D21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Musculoskeletal stiffness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported having stiff neck a few days after he received his 2nd vaccination

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431001&WAYBACKHISTORY=ON


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